how much budget of CIVIL HOSPITAL BADIN, and misused all, see it, details, 2. Meetings: The review meeting was held in Darbar Hall at DCO Secretariat. Following were present: Mr. Safdar Ali Agha, District Coordination Officer, Badin Mr. Zahid Ali Abbasi, EDO (Rev) & EDO CDD (Acting Charge) Mr. Ali Ahmed Sethar, EDO (F&P), District Badin. Mr. Farooque Ahmed Qazi, EDO (Works & Services) Mr. Hafeez-ul-Haq Memon, EDO (Health) Mr. Din Muhammad Kaleri, EDO (Education). Muhammad Iqbal Memon, Deputy Program Director, SDSSP Ms. Shireen Narejo, PO (Health), SDSSP Mr. Naved Shaikh, PO (Education), SDSSP Ms. Tanzila, Finance & Governance Specialist, LSU Badin Mr. Shahzad, Program Assistant, LSU Badin. Meeting was held in a very congenial atmosphere with welcome remarks by EDO (Health). Muhammad Iqbal Memon, Deputy Program Director, SDSSP briefed participants about aims and objectives of PSU team’s visit to the District. He said that purpose of the visit was part of an interactive process with the districts to support them and share initiatives, concerns and experiences. He mentioned that at present District Government Badin was not utilizing funds in education sector while preparation of ASPs for 2005-06 and 2006-07 was very slow. He added that objective of the visit was to assist District Government Badin to overcome issues in education sector and assist them in the preparation of ASPs. The focus of discussion remained on following points: • Review of 04-05 Funding in Health and Education Sectors • Issues of incomplete schemes particularly in Education Sector • ASPs for accessing second & third year grant. 3. Utilization of 1st Year of SDSSP grant in Health & Education Sectors EDO Health informed the team about the utilization of SDSSP funds for FY 2004-05 for Health Sector: 1st Tranche release in 2004-05 12.00 Million Utilization 11.99 Million • Schemes for first year were: Purchase of Equipments & Instruments Purchase of Furniture Repair of Ambulance EDO Health further added that these schemes have been completed with in stipulated time period. While the completion certificates of these schemes have been submitted to PSU. EDO Works & Services informed the team about the utilization of SDSSP funds for FY 2004-05 for Education Sector: 1st Tranche release in 2004-05 (Allocation) 69.855 Million Released 49.462 Million Utilization 49.462 Million • Schemes for first year were: Shelter Less Primary Schools • Missing Facilities: EDO W&S informed the team that due to unavailability of funds the schemes are not completed. He further added that first schemes have been duly approved by Council. Hence the funds may be released to complete the remaining schemes. A. Health Sector: EDO (Health) briefed the team in details through his presentation as follows: • Vision of District Government regarding Health Sector: To improve the physical, social and mental health of all people of district. This includes the improvement in maternal and child health care, improved immunization, efficient referral system and availability of qualified medics and Para medics. • District Government’s Strategies For Health Sector To decrease IMR & MMR by following activities: Strengthening of EMOC Services through Man Power Strengthening of Diagnostic Services for Pregnant Mother at DHQ & THQ Hospitals. Expanding Immunization Activities in far-flung areas. Expanding of Referral Services to Prevent delays in MMR. Enhancing Gender Ratio of Females. Strengthening of Nursing School, Badin To Improve Quality Health Care Services by following activities: Establishment of Blood Bank for Thalasemic and Other Patient. Strengthening of Preventive Services at Thalasemia Center Establishment of Dialysis Unit at DHQ. Rehabilitation of Existing Services Treatment and Prevention of Rabies. To establish scientific storage capacity for Medicine & Equipments etc. To make atmosphere pollution free & making family friendly facilities by following activities: Establishment of Incinerator & Scrubber Unit at DHQ Hospital. To strengthening the supervision, monitoring, collection & analysis of data by Establishing & Health Research & Evaluation Unit at District Level. Provision of Mobility Support to Supervisors. • Financial Resources: 2006-07 Budget 2007-08 BE Current Expenditure 285.027 313.5297 Salary 211.845 233.0295 Non-Salary 73.181 80.4991 Development 13.426 14.768 Health (Functional Classification) EDO Health / Primary Health Care 188.553 207.4083 Salary 135.373 148.910 Non-Salary 53.179 58.496 DHQ Hospital 43.764 48.140 Salary 30.131 33.144 Non-Salary 13.633 14.996 THQ Hospital 51.296 56.425 Salary 45.540 50.094 Non Salary 5.756 6.331 Nursing School 1.413 1.554 Salary 0.800 0.880 Non Salary 0.613 0.674 He further added that District would shortly identify Schemes for Health Sector for FY 2007-08 as per Vision of Zila Nazim & District Government Strategies for Health. He informed the team that there was no contribution of private sector in Health, while the district government’s resources were also nil. The DCO, however, clarified that private sector was vibrant in the district and Thalaessemia center was one example of this. DCO advised the EDO to further research and document the private sector contribution. • GAVI & Women Health Project Investment / Scheme name Target Talukas Approx: No. of Units Total cost Appointment of Vaccinators All 49 1.734 Woman Health Project All 15 0.05 • Sindh Devolved Social Services Program (2005-06) Investment / Scheme name Target Talukas Approx: No. of units Total cost Linkage with district government’s strategy Strengthening of diagnostic services for pregnant mothers. All 10 3.70 To meet the goal of District Government that health for all by decreasing IMR and MMR Improvement of EMOC Services All 10 5.46 - - - do - - - Improvement of Immunization Services All 81 4.35 - - - do - - - Provision of Ambulances Tando Bago and Matli 03 1.80 - - - do - - - Strengthening of prevention services at Thalaessmia Care Center at Badin Badin 01 3.29 To meet the goal of district govt. by improving Quality Health Services Establishment of Blood Bank at Thalaessimia Care Center at Badin Badin 01 3.546 - - - do - - - Provision of Anti Rabies I/M Vaccine All 81 2.625 - - - do - - - Rehabilitation of Existing Services All 14 2.715 - - - do - - - Establishment & Rehabilitation of Dialysis Unit Badin 01 3.30 - - - do - - - Establishment of Incinerator Centers & Scrubber Unit. Badin 1 1.8944 To meet the goal of Distt. Govt. by making pollution free environment & making family friendly facility. Strengthening Scientific Storage Capacity. Badin 1 5.3619 To meet the goal of Distt: Govt. by establishing specific storage capacity for medicine & equipments. GRAND TOTAL 38.899 • Sindh Devolved Social Services Program (2006-07) Investment / Scheme name Target Talukas Approx: No. of units Total cost Linkage with district government’s strategy Strengthening of Surgical Services including Ophthalmic Services All 5 2.0 To meet the goal of Distt: Govt. that health for all by decreasing IMR and MMR Improving of EMOC services All 10 5.46 - - - do - - - Enhancement of Immunization Services All 81 5.0 - - - do - - - Provision of Ambulances Tando Bago Matli 03 1.8 - - - do - - - Control & Preventions Hepatitis in highly prevent areas of Taluka Matli Matli 6 5.6 To meet the goal of District Government by preventing mortality of this disease. Control & Preventions Hepatitis in highly prevent areas of Taluka Matli Matli 5 5.6 - - - do - - - Establishment of Incinerator Centers & Scrubber Unit Matli 1 1.882 To meet the goal of Distt. Govt. by making pollution free environment & making family friendly facility. Grand Total 27.342 • Other Resources of Funding Investment / Scheme name Target Talukas Approx: No. of units Total cost Linkage with district government’s strategy EPI All 50 0.395 To meet the goal of District Government that health for all by improving preventable diseases Malaria All 35 7.543 To meet the goal of District Government that health for all by reducing morally and mobility of maternal diseases • Any Other Priority / Investment For Which Funds Are Not Available Investment / Scheme name Target Talukas Approx: No. of units Total cost Linkage with district government’s strategy Provision of Litho Trapsy and TUR Unit at DHQ Hospital Badin 1 4.0 To meet the goal of Distt: Govt. by providing quality Health Care Services. Establishment of Institute for Production of Anti Snake Venom Tando Bago 1 - - - - do - - - Establishment of CCU along with Facility of ETT, ECHO, Angiotherapy Badin 1 4.0 - - - do - - - Establishment of Physiotherapy Unit Badin 1 1.0 - - - do - - - Establishment Blood Bank and Modern Pathological Laboratory at THQ. Matli Badin Tando Bago 3 5.7 - - do - Establishment of Research & Evaluation Unit Badin 1 0.80 - - - do - - - Provision of Mobility Support to Field Supervisors All 7 4.2 - - - do - - - Queries regarding presentation of Health raised by PSU team & DCO: DCO’s Observation: • He has pointed out that there is a contribution of British Petroleum for health as a private sector, even this share is small, but it should be appreciated and mentioned in the presentation of EDO Health. • He has also pointed out that the health schemes should be reasonable and must fall within the criteria of district government. In other words the schemes should be able to be implemented within available resources. Deputy Program Director: • He suggested that in order to assess whether the DG Badin was able to achieve objectives/targets of the schemes of SDSSP’s 1st year grant, the district government might include a study in its 2nd year ASP or request for such a study from SDSSP’s technical assistance. Program Officer (Education): • He has pointed out that the EDO mentioned in his presentation that there was a 14.00 million allocation in 2007-08 budget of the district government, while no scheme regarding this allocation was available in the presentation. He further added that SDSSP grant should not be treated as a separate share, but it was a part of district government and should be considered as whole with district government’s budget and new schemes should identified keeping in view this fact. Program Officer (Health): • She mentioned that overall progress of health sector was quite satisfactory and deputy program director agreed with the comments of DCO Badin. He suggested that in order to assess whether the District Government Badin was able to achieve objectives / targets of the schemes of SDSSP for the year grant the District Government may include a study in its 2nd year ASP or may request for such study for technical assistance. B) EDUCATION SECTOR: The EDO (Education) has expressed his presentation in a following way: • District Government’s Strategies For Education Sector To provide the facilities in Educational Institutions for the improvement of quality of education by providing additional class rooms in existing schools. Construction / Rehabilitation of Shelter Less Schools. Construction / Rehabilitation of Lavatory Blocks in existing schools. Increase the enrollment ratio in schools & minimization of drop out ratio. • Financial Resources (Education) 2006-2007 BUDGET 2007-2008 RE Current Expenditure Salary 808.862 889.748 Non-Salary 18.199 19.473 Development 97.546 107.300 Education (Functional Classification) Primary Salary 507.553 558.308 Non-Salary 5.642 5.924 Secondary and Higher Secondary Salary 274.209 301.630 Non-Salary 4.296 4.510 Vertical Programs NCHD 44.787 55.468 • Contribution of Private Sector In Education Target Talukas Primary Secondary/Higher Secondary Private Schools (Units-estimated) All Talukas 50 27 Not-for-Profit/ Community Schools etc (Units-estimated) N/A • Sindh Education Reform Program Investment / Scheme name Target Talukas Approximate No. of units Total cost Linkage with district government’s strategy Shelter Less Primary Schools All 21 25.872 Const:/Rehab: of Shelter Less Schools Additional Class Rooms All 50 25.1 Rehab: of Existing Schools Missing Facilities All 158 51.048 Rehab: of Existing Schools • Sindh Devolved Social Services Program Investment / Scheme Name Target Talukas Approximate No. of units Total cost Linkage with district government’s strategy Shelter Less Primary Schools All 77 59.105 Const:/Rehab: of Shelter Less Schools Compound Wall, Water Supply, Lavatory Block All 227 10.750 Rehabilitation of Existing Schools. The EDO Education further informed the forum that the district will shortly identify Schemes for Education Sector for FY 2006-07 (3rd Year Grant of SDSSP) as per Vision of Zila Nazim & District Government Strategies for Education. • Provincial Funding Investment / Scheme name Target Talukas Approx no. of units Total cost Linkage with district government’s strategy Shelter less Schools All 27 27.37 Const: / Rehab: of Shelter Less School Primary Schools to Middle Schools Matli, Shaheed Fazul Rahu & Tando Bago 14 28.553 Rehabilitation/Up gradation of Existing Schools High Schools to Higher Secondary Schools Matli and Badin 2 24.0 Rehabilitation/Up gradation of Existing Schools Observations raised by the participants on Education: Observations by PO (Education): • Program Officer Education observed that the strategies of Education Sector as defined in the presentation were not justified and not fulfilling the objectives of the department. He further suggested that the education department must refer with the health department’s strategies. He also suggested that the strategies of education should be general and all schemes should be inline with the umbrella of these strategies. • He further said that education department should mention both district government and SDSSP schemes in its presentation. EDO (W&S): • On the observation of PO (Education) the EDO (W&S) informed that the EDO (Education) had recently joined his duties on acting charge basis and volunteered to brief the participants on schemes of education sector. • He informed that the education department had received only 49.46 million from SDSSP, while the approved amount was 69.855 million. He said that due to this reason the education department’s schemes were still incomplete. Visit Activities: After the presentation, the DCO Badin invited the team to visit Thalaesemia Center Badin. The team met with founder member of the center Dr. Muhammad Haroon Memon and Doctor Incharge, Dr. Almas Junejo. The team was briefed about the center by the Dr. Haroon as well as Dr. Hafeez-ul-Haq Memon. He informed that the center was catering to the needs of people education in seven districts of Sindh. After that the team inquired about the patients and collected their views regarding center. Meeting with District Nazim: Nazim welcomed the team at his house. At this point the Deputy Program Director, Muhammad Iqbal Memon briefed about the visit of team. He also informed the Nazim in details about the meeting / discussion held at Darbar Hall, Badin. Program Officer (Education) informed the Zila Nazim, that the progress education sector of District Badin was not satisfactory. The Zila Nazim agreed that the observations of the team regarding education sector was quite right but added that in past due to premature transfers and postings of EDOs the department lacked proper guidance affecting performance overall. He further added that there still was no EDO Education posted in the District and the current EDO was working on acting charge basis. Regarding health department the Zila Nazim enquired the team about any queries / observations. The PO (Health) replied that the overall performance of health department Badin was quite satisfactory. The Zila Nazim informed the team that he intended to bring Civil Hospital Badin at par with the best hospitals of country and showed the design and map of the hospital to the team. He suggested that the schemes of SDSSP should be launched with long term planning as the masses of the areas could get the full advantage from these schemes.
Posted on: Sun, 09 Mar 2014 12:40:08 +0000
Trending Topics
Recently Viewed Topics
© 2015